SW8970728_CURRENT PERMIT_20030602

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPECURRENT
PERMIT
APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
WYYMMDD

PE
O�OF \NA7FR�G Michael F. Easley, Governor
y William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
0 Alan W. Klimek, P.E,,Director
Division of Water Quality
June 2, 2003
Mr. Keith Walker, Vice President
Camellia Court Apartments Limited Partnership
315 Turner Street
Beaufort, NC 28516
Subject: Permit No. SW8 970728 Modification
Camellia Court Apartments
High Density Stormwater Project
Carteret County
Dear Mr. Walker:
'The Wilmington Regional Office received a complete, modified Stormwater
Management Permit Application for Camellia Court Apartments on May 29, 2003. Staff
review of the plans and specifications has determined that the project, as proposed, will
comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are
forwarding Permit No. SW8 970728 dated June 2, 2003, for the construction of Camellia
Court Apartments.
This permit shall be effective from the date of issuance until June 2, 2013, and shall be
subject to the conditions and limitations as specified therein. Please pay special
attention to the Operation and Maintenance requirements in this permit. Failure to
establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in;this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-
7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact Linda Lewis, or me at (910) 39573900.
Sincerely,
Rick Shiver
Water Quality Regional Supervisor
RSSlarl: S:1WQSISTORMWATIPERMIT1970728.jun03
cc: Kevin Kuhn, Stroud Engineering
Morehead City Building Inspections
Linda Lewis
Wilmington Regional Office
Central Files
N. C. Division of Water Quality
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
[phone]
[phone] Fax
Customer Service
1 800 623-7748
NCDENFIR

State Stormwater Management Systems
Permit No. SW8 970728 Modification
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Keith Walker, Camellia Court Apartments Limited Partnership
Camellia Court Apartments
Carteret County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until June 2, 2013, and shall be
subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described on page 3 of this permit, the Project Data Sheet. The
stormwater control has been designed to handle the runoff from 130,914 square
feet of impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system. A permit
modification must be submitted and approved prior to the construction of
additional built -upon area from outside of the approved drainage area.
6

0.
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
State Stomiwater Management Systems
Pennit No. SW8 970728 Modification
DIVISION OF WATER QUALITY
PROJECT DESIGN DATA SHEET
Camellia Court Apartments
Application Date:
Receiving Stream/River Basin
Stream Index Number:
Classification of Water Body:
Drainage Area, acres:
Onsite, sq. ft.:
Offsite, sq. ft.:
Total Impervious Surfaces, sq. ft.:
Onsite, sq. ft.:
Offsite, SW8 021217, sq. ft.:
Pond Depth, feet:
TSS removal efficiency:
Permanent Pool Elevation, FMSL:
Permitted Surface Area, sq. ft.:
Permitted Storage Volume, cubic ft.:
Temporary Storage Elevation, FMSL
Controlling Orifice:
Permitted Forebay Volume, cubic ft.:
SW8 970728
4609 Country Club Road
Morehead City, Carteret County
Keith Walker, Vice President
Camellia Court Apartments Limited Partnership
315 Turner Street
Beaufort, NC 28516
May 29, 2003
Calico Creek 1 White Oak
W OK03 21-32
"SC"
4.49
134,888
60,548
130,914
75,157
55,757
90% (no filter is required)
[.*Ills]
7,064 @Permanent Pool
11,825
9.50
1.25"0 pipe (drawdown in 2-5 days)
5,463
3

State Stormwater Management Systems
Permit No. SW8 970728 Modification
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in it's entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not
limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment. removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
6. Decorative spray fountains will not be allowed in the stormwater treatment
system.
6. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. At least 30 days prior to the sale or lease of the property, in whole or in part, the
permittee shall notify DWQ and provide the name, mailing address and phone
number of the purchaser or leasee. An access/maintenance easement to the
stormwater facilities shall be granted in favor of the permittee if access to the
stormwater facilities will be restricted by the sale or lease of any portion of the
property.
4

State Stormwater Management Systems
Permit No. SW8 970728 Modification
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, or sale of all or part of the project area.
The project area is defined as all property owned by the permittee, for
which Sedimentation and Erosion Control Plan approval or a CAMA Major
permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction. If the proposed
BUA exceeds the amount permitted under this permit, a modification to the
permit must be submitted and approved prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. The permittee must maintain compliance with the proposed built -upon area and
ensure that the runoff from all the built -upon is directed into the permitted system.
14. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
15. The permittee must maintain the current permitted drainage area. No additional
runoff from outside of the permitted drainage area boundary may enter the
permitted stormwater facilities without first applying for and receiving a permit
modification.
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director.
In the event of a change of owership, or a name change, the permittee must
submit a formal permit transfer request to the Division of Water Quality,
accompanied by a completed name/ownership change form, documentation from
the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be
approved. The permittee is responsible for compliance with all permit conditions
until such time as the Division approves the transfer request.
5

State Stormwater Management Systems
Permit No. SW8 970728 Modification
2. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
5. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or
termination does not stay any permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.,...
8. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing address
changes within 30 days.
Permit issued this the 2nd day of June, 2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
-4-el Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Q

State Stormwater Management Systems
Permit No. SW8 970728 Modification
Camellia Court Apartments
Stormwater Permit No. SW8 970728
Carteret County
Designer's Certification
I, , as a duly registered
in the State of North Carolina, having been authorized to observe (periodically /weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included -in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
7

F f
State Stormwater Management Systems
Permit No. SW8 970728 Modification
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. The outlet/bypass structure elevations are per the approved plan.
5. The outlet structure is located per the approved plans.
6. Trash rack is provided on the outlet/bypass structure.
7. All slopes are grassed with permanent vegetation.
$. Vegetated slopes are no steeper than 3:1..
9. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
10. The permitted amounts of surface area and/or volume have been
provided.
11. Required drawdown devices are correctly sized per the approved plans.
12. All required design depths are provided.
13. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
14. The overall dimensions of the, system are provided per the approved
plans.
cc: NCDENR-DWQ Regional Office
Morehead City Building Inspections
9

r.,U _IU Y �`5' ���i.iAi * d ��D r K AI+
OFC 1 EISE ONLY �'., M:: ,, ;4A � ,
Date Received Fcc Paid Permit Number
5-12-03420 03z'70r 5WS' g7a7z
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (spe if he me of the corporation, individual, etc. who owns the project):
erg
CameWia Court Limited Partnership
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Keith Walker, Vice President
3. Mailing Address for person listed in item 2 above:
315 Turner Street
City: Beaufort State: NC Lip: 28516
Tel ephoneNumber: ( 252 } 504-3996
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Camelia Court Apartments
5. Location of Project (street address):
4609 Country Club Road
City: Morehead City County: Carteret
G. Directions to project (from nearest major intersection):
From the intersection of NG H 24 & Country Club Rd, take Country Club Rd
Easterlv, site is on the right hand side.
7. Latitude: N340 44.11' Longitude: W76° 46.78' of project
8. Contact person who can answer questions about the project:
Name: Kevin L. Kuhn, P.E. TelephoneNumber: L_252
11. PERMIT INFORMATION:
1. Specify whether project is (check one): New Renewal
Form SWU-101 Version 3.99 Page I of 4
247-7479
X Modification

2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number SW8 970728 and its issue date (if known) 01/23/98
3. Specify the type of project (check one): .
Low Density X High Density Redevelop General Permit Other
4. Additional Project Requirements (check applicable blanks):
CAMA Major X Sedimentation/Erosion Control _404/401 Permit _NPDES Stormwater
Information on required state permits can be obtained by contacting the Customer Service Center at
1-877-623-6748.
III. PROJECT INFORMATION
In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Existing- pond to be modified to allow an additional 55,757 sf of offsite
impervious surface to be treated to 90% TSS removal through the existing_
wet detention pond.
2. Stormwater runoff from this project drains to the White Oak River basin.
3. Total Project Area: 4.49 acres 4. Project Built Upon Area: 67 %
5. How many drainage areas does the project have? . 2
6. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area provided in the same format as below,
nffcita from n91717 Tntnl Arninnaa to annA
'BasinilnforiTiadon«� ``°���f``
i'..:W:.Q.P��.✓wY�k.
?ty DrainageAfeal ��[��+�J�[
-�'t�0...aY...w:a'.:.. _ NeQbAnS: Y:ae�i.P'LJB:R.e*..Y
w,]]{Draiiiag`e Area12't°
i:}u� �..Y/;lSye.�v .a�e�vatls v2.... i ?W.'?
Receiving Stream Name
CalicooCreek
Calico Creek
Receiving Stream Class
SC
SC
Drainage Area
60,548 sf
1.95 436 sf
Existing Impervious* Area
0 sf
75,157 sf
Proposed Impervious"Area
55,757 sf
130,914 sf
% Impervious* Area (total)
92%
67%
%41'4N•'�'.'hi!+`:
ImRervious 'Surface�Area ��
_3. .. �
a
� �'�Dr"aiiiagg Aieatl ;t
K{k�°A3.3...,..—..?lY=i,.'✓-S"Jk�i;� 1 h.'2
1
� Dr 90A 2
atria e� =
�':nt.PY'VY'n41F, J� ll'
On -site Build, igs
20,038 sf
34,959 sf
On -site Streets
17,860 sf
13,959 sf
On -site Parking
10,454 sf
27,000 sf
On -site Sidewalks
4,355 sf
Other on -site
3,050 sf
Off -site (021217)
55,757 sf
Total: 55,757 sf
Total: 130,914 sf
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking ad'�"'t�� �r
sidewalks, gravel areas, etc. , Ip'
Form SWU-101 Version 3.99 Page 2 of A -- �� 99 �/

7. How was the off -site impervious area listed above derived?T Survey and Desi
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
The following italicized deed restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
I. The following covenants are intended to ensure ongoing compliance with state stormwater management permit number
as issued by the Division of Water Quality. These covenants may not be
changed or deleted without the consent of the State.
2. No more than square feet of any lot shall be covered by structures or impervious materials.
Impervious materials include asphalt, gravel, concrete, brick, stone, slate or- similar material but do not include wood
decking or the water surface of swimming pools.
3. Swales shall not be filled in, piped, or, altered except as necessary to provide driveway crossings.
4. Built -upon area in excess of the permitted amount requires a state stormwater management permit modification prior to
construction.
5. All permitted runoff from outparcels or future development shall be directed into the permitted stormwater control
system. These connections to the stormwater control system shall be performed in a manner that maintains the integrity
and performance of the system as permitted.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all the applicable items required above, tharthe covenants will he binding on all parties and persons
claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurTence from the State, and that they will be recorded prior to the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater and General Permits Unit at [phone] for the status
and availability of these forms.
Form SWU-102
Wet Detention Basin Supplement
Form SWU-103
Infiltration Basin Supplement
Form SWU-104
Low Density Supplement
Form SWU-105
Curb Outlet System Supplement
Form SWU-106
Off -Site System Supplement
Form SWU-107
Underground Infiltration Trench Supplement
Form SWU-108
Neuse River Basin Supplement
Form SWU-109
innovative Best Management Practice Supplement
Form SWU-101 Version 399 Page 3 of 4

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items Iisted'below. The complete application package should be
submitted to the appropriate DWQ Regional Office.
Please indicate that you liave provided the following required information by initialing in the space provided
next to each item.
Initial
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP 4[
• Permit application processing fee of $420 (payable to NCDENR)
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications, including:
Development/Project name
- Engineer and firm
-Legend
North arrow
Scale
Revision number & date
Mean high water line
Dimensioned property/project boundary
Location neap with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site) -drainage easements, pipe sizes, runoff calculations
Drainage areas delineated
Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf, please complete this section.
Designated agent (individual or firm): Stroud Engineering, P.A.
Mailing Address: 151—A Hwy 24
City: Morehead City State: NC Zip: 28557
Phone: ( 252_ ) 247-747.9
VIII. APPLICANT'S CERTIFICATION
Fax: ( 252 ) 247-4098
I, (print or type name of person listed in General Information, item 2) Keith Walker, Vice President
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be c structed in con rmance with the approved plans, that the required deed restrictions
and protec ' e nt wi1 be recorded, nd that the proposed project complies with the requirements of 15A
NCAC 21-1 ,1000, 1 f) , �-
Signature:
Form SWU-101 Version 3,99 Page 4 of 4
Date: 5.�.0I

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Permit No. 5w d 970 -7 ze Ru..'•
(to be provided by DWQ)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form may be photocopied for use as an original
DWQ Stormwater Management Plan Review:
A complete stormwater management plan submittal. includes an application form, a wet detention basin
supplement for each basin, design calculations, and plans and specifications showing all basin and outlet
structure details.
I. PROJECT INFORMATION
Project Name: Camel.ia Court Apartments _
Contact Person: Kevin _L.Kuhn,_P.E. Phone Number: (252 ) 247-7479
For projects with multiple basins, specify which basin this worksheet applies to:
elevations
Basin Bottom Elevation 1.8 ft. (floor of the basin)
Permanent Pool Elevation 8.0 ft. (elevation of the orifice)
Temporary Pool Elevation 9.5 ft. (elevation of the discharge structure overflow)
areas
Permanent Pool Surface Area 7, 064 sq. ft. (water surface area at the orifice elevation)
Drainage Area 4.49 ac. (on -site and off -site drainage to the basin)
Impervious Area 3.00 ac. (on -site and off -site drainage to the basin)
volumes
Permanent Pool Volume 27,016 cu. ft. (combined volume of main basin and forebay)
Temporary Pool Volume 11, 824.50cu. ft. (volume detained above the permanent pool)
Forebay Volume 5,463 cu. ft. (approximately 20% of total volume)
Other parameters
SA/DA I
Diameter of Orifice
Design Rainfall
Design TSS Removal 2
3.55
1.25 in.
7.23 in.
90 %
(surface area to drainage area ratio from DWQ table)
(2 to S day temporary pool draw -dawn required)
(minimum 85% required)
Form SWU-102 Rev 3.99 Page 1 of 4

Footnotes:
t When using the Division SA/DA tables, the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious % and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 In the 20 coastal counties, the requirement for a vegetative filter may be waived if the wet detention basin is designed to:provide
90% TSS removal. The NCDENR BMP manual provides design tables for both 85% TSS removal and 90% TSS removal.
11. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices Manual
(N.C. Department of Environment, Health and Natural Resources, February 1999) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Applicants_ Initials
62Ir a. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
b. The forebay volume is approximately equal to 20% of the basin volume.
c. The temporary pool controls runoff from the design storm event.
d.. The temporary pool draws down in 2 to 5 days.
e. If required, a 30-foot vegetative filter is provided at the outlet (include non -erosive flow
calculations)
f. The basin length to width ratio is greater than 3:1.
g. The basin side slopes above the permanent pool are no steeper than 3:1.
h. A submerged and vegetated perimeter shelf with a slope of 6:1 or less (show detail).
i. Vegetative cover above the permanent pool elevation is specified.
j. A trash rack or similar device is provided for both the overflow and orifice.
k. A recorded drainage easement is provided for each basin including access to nearest right-
of-way,
1. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified prior to use as a wet detention basin.
m. A mechanism is specified which will drain the basin for maintenance or an emergency.
111. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, pretreatment including forebays and the
vegetated filter if one is provided.
This system (check one) 0 does ID does not incorporate a vegetated filter at the outlet.
This system (check one) 0 does b does not incorporate pretreatment other than a forebay.
Form SWU-102 Rev 3.99 Page 2 of 4

Maintenance activities shall be performed as follows:
I . After every significant runoff producing rainfall event and at least monthly:
a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation,
vegetated cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days as designed.
2. Repair eroded areas immediately, re -seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system (i.e. catch basins, piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75% of the original design depth (see diagram below). Removed sediment shall be disposed of
in an appropriate manner and shall be handled in a manner that will not adversely impact water quality (i.e.
stockpiling near a wet detention basin or stream, etc.).
The measuring device used to determine the sediment elevation shall be such that it will give an accurate
depth reading and not readily penetrate into accumulated sediments.
When the permanent pool depth reads 3.35
When the permanent pool depth reads 4.63
Sediment Ren oval EI. 4. 63 175
Bottom Ell ation-5
FOREBAY
feet in the main pond, the sediment shall be removed.
feet in the forebay, the sediment shall be removed.
BASIN DIAGRAM
(fill in fire hlairb)
Permanent Pool Elevation 8.0
Sediment Removal Elevation_ 3 _35__________ 75% __
Bottom Elevation I.80 4 25%
MAIN BOND
5. Remove cattails and other indigenous wetland plants when they cover 50% of the basin surface. These
plants shall be encouraged to grow along the vegetated shelf and forebay berm.
6. If the basin must be drained for an emergency or to perform maintenance, the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
Norm SWU-IO2 Rev 3.99 Page 3 of 4

7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the seven
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party.
Print name: Camelia Court. Limited Partnership � Keith Walker
Title: Vice President
Ac
Pr
Si
Date: S . 01. 05
Note: The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president.
I, MAIIdEW 1. / VAITM e- a Notary Public for the State ofJVDjrlW (. QO
County of�QAVE71� , do hereby certify that
personally appeared before me this _ day of� and acknowledge the due
execution of the forgoing wet detention basin maintenance requirements. Witness my hand and official seal,
L.
g NOTARY ..4
C• VBloc
dP
SEAL
My commission expires-6�„ OVA.]
Form SWU-102 Rev 3.99 Page 4 of 4

�q+

State of North Carolina
Department of Environment
and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality
January 23, 1998
Mr. Keith Walker, Vice President
Camellia Court Limited Partnership
315 Turner Street
Beaufort, NC 28516
` s o
UL
��
NCDENR
ENVIRONMENT AND NATURAL RcsounCES
Subject: Permit No. SW8 970728
Camellia Court Apartments
High Density Commercial Stormwater Project
Carteret County
Dear Mr. Walker:
The Wilmington Regional Office received the Stormwater Management Permit Application for Camellia Court Apartments
on July 23, 1997, with final information on November 19, 1997. Staff review of the plans and specifications has
determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC
2H.1000. We are forwarding Permit No. SW8 970728 dated January 23, 1998, for the construction of Camellia Court
Apartments.
This permit shall be effective from the date of issuance until January 23, 2008, and shall be subject to the conditions and
limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit.
Failure to establish an adequate system for operation and maintenance of the stormwater management system will result
in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be
in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, P.O. Drawer 27"7, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact Linda Lewis, or me at
[phone].
Sincerely,
U ✓
Rick Shiver, P.G.
Acting Regional Water Quality Supervisor
RSS/arl: S:IWQSISTORMWATIPERMIT1970728.JAN
cc: Ron Cullipher, P.E.
Katrina Marshall, Carteret County Inspections
Linda Lewis
W ilmington-Regional^Office
Central Files
127 North Cardinal Dr., Wilmington, North Carolina 28405 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper
1

State Stormwater Management Systems
Pgrinit No. S W 8 970728
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
S'YATE STORMWATER MANAQEW—NT PERMIJ
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Camellia Court Limited Partnership
Camellia Court Apartments
Carteret County
FOR THE
construction, operation and maintenance of a detention pond in compliance with the provisions of 15A NCAC 2H .1000
(hereafter referred to as the "stormwater rules") and the approved stormwater management plans and specifications and
other supporting data as attached and on file with and approved by the Division of Water Quality and considered a part of
this permit.
This permit shall be effective from the date of issuance until January 23, 2008 and shall be subject to the following specified
conditions and limitations:
I. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described in the application and
other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as described on page 3 of this
permit, the Project Data Sheet. The stormwater control has been designed to handle the runoff from 75,157 square
feet of impervious area.
3. Approved plans and specifications for this project are incorporated by reference and are enforceable parts of the
permit.
4. The tract will be limited to the amount of built -upon area indicated on page 3 of this permit, and per approved
plans.

State Stormwater Management Systems
Permit No. SW$ 970728
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
DIVISION OF WATER QUALITY
PROJECT DATA SHEET
Camellia Court Apartments
Application Date:
Water Body Receiving Stormwater Runoff
Classification of Water Body:
If Class SA, chloride sampling results:
Pond Depth, feet:
Permanent Pool Elevation, FMSL:
Total Impervious Surfaces, ftz:
Future, ft2
Offsite Area entering Pond, ft2:
Required Surface Area, ftz:
Provided Surface Area, ftz:
Required Storage Volume, ft3:
Provided Storage Volume, ft3:
Temporary Storage Elevation, FMSL:
Controlling Orifice:
970728
Carteret County
Mr. Keith Walker, Vice President
Camellia Court LP
315 Turner Street
Beaufort, NC 28516
July 23, 1997
Calico Creek
"SC"
NIA
4
8
75,157
none accounted for
none, per Engineer
6,571
7,064
6,199
11,824
9.5
1.25" pipe
3

State Stormwater Management Systems
Permit No. 5W8970728
5. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable built -
upon area.
The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision of the project area.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
In addition, the Director may determine that other revisions to the project should require a modification to the
permit.
The Director may notify the permittee when the permitted site does not meet one or more of the minimum
requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time
schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies
of revised plans and certification in writing to the Director that the changes have been made.
II. SCHEDULE OF COMPLIANCE
1. The permittee will comply with the following schedule for construction and maintenance of the stormwater
management system:
a. The stormwater management system shall be constructed in it's entirety, vegetated and operational for it's
intended use prior to the construction of any built -upon surface except roads.
During construction, erosion shall be kept to a minimum and any eroded areas of the system will be
repaired immediately.
2. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted stormwater
system functions at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its
entirety and maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins and piping.
g. Access to the outlet structure must be available at all times.
Records of maintenance activities must be kept and made available upon request to authorized personnel of DWQ.
The records will indicate the date, activity, name of person performing the work and what actions were taken.
4. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this
permit, the approved plans and specifications, and other supporting data.
4

State Stormwater Management Systems
Permit No. SW� 970728
Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this
permitted facility, a certification must be received from an appropriate designer for the system installed certifying
that the permitted facility has been installed in accordance with this permit, the approved plans and specifications,
and other supporting documentation. Any deviations from the approved plans and specifications must be noted on
the Certification.
6. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a minimum of ten
years from the date of the completion of construction.
Prior to the sale of any portion of the property, an access/maintenance easement to the stormwater facilities shall
be granted in favor of the permittee if access to the stormwater facilities will be restricted by the sale of any portion
of the property.
III. GENERAL CONDITIONS
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there is a
name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality
accompanied by an application fee, documentation from the parties involved, and other supporting materials as may
be appropriate. The approval of this request will be considered on its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement
action by the Division of Water Quality, in accordance with North Carolina General Statute 143-215.6A to 143-
215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which
have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement stormwater management systems.
The permittee grants DENR Staff permission to enter the property for the purpose of inspecting all components
of the permitted stormwater management facility.
The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit
modification, revocation and reissuance or termination does not stay any permit condition.
Permit issued this the 23rd day of January, 1998.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
4 , yk— , 'O v
A. Preston Howard, Jr., P.E., Director'
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 970728
5

State Stormwater Management Systems
SW8 970728
Camellia Court Apartments
Stormwater Permit No. SW8 970728
Carteret County
Engineer's Certification
I, _ , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the project,
eject)
for (Project Owner) hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the project construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
0

• DIVISION OF ENVIRONMENTAL MANAGEMI, NT
` NORTI3 CAROLINA STORMWATER. MANAGEMENT PERMIT APPLICATION
I. GENERAL INFORMATION
1. Project Name Camellia Court Apartments
2. Location, directions to project (include County, Address, State Road) Attach map. Country, Club Road,
Morehead City, Carteret County
3. Owner's Name Camellia Court LP
4.Owner's Mailing Address
315 Turner Street
Phone [phone]
City Beaufort State NC Zip 28516
5. Application date -7-Z-, 9I //-/�-R�� ^ Fee enclosed $ 385.00
6. Nearest Receiving Stream Calico Creek Class Sc
7.Projectdescription_Eleven 4-unit buildings with community_ club _house and wet detention pond.
II. PERMIT INFORMATION
1. Permit No.(robeflledinbyDEM)�
v
2. Permit Type X New Renewal Modification (existing Permit No.)
3. Project Type: Low Density X Detention Infiltration Other: Redevelop General Dir Cert
4. Other State/Federal Permits/Approvals Required (Cieck- appropriateblanks)
CAMA Major Sedimentation/Erosion Control X 404 Permit
III. BUILT UPON AREA (Please see NCAC 211.I005 thru ,1007 for applicable density limits)
DrainaZ Drainage Breakdown of Impervious Area
Basin Basin (Please indicate below the design impervious area)
Classification SC Buildings t--7t--*e 0.903 A c—
Allowable Impervious Area - ~Streets •9.-62= o • WD A
1)12fliMAG-E A r,vA 3.. ).o lqc_
Total flf e t prrea• 4. 2- Parking/SW 0.30 AC 0,203 Ac-
I.i z(,p ►ac.
Proposed Impervious AreaOther -
55.��
% Impervious Area --3 Totals i�C o A
IV. STORMWATER TREATMENT (Describe how the rarnoff i4ill be treated)
Collection into wet detention pond.

V. DEED RESTRICTIONS AND PROTECTIVE. COVENANTS
Deed restrictions and.protective covenants are required to be recorded for all low density projects and all
subdivisions prior to the sale of any lot. Please see Attachment A for the specific items that must be recorded
for the type of project applied for.
By your signature below, you certify that the recorded deed restrictions and protective covenants for this project
shall include all .the items required by the permit, that the covenants will be binding on all parties and persons
claiming under them, that they will.run.withthe land, that the covenant cannot be changed or deleted without
concurrence from the State, and that they will be recorded prior to the sale of any lot.
VI. OWNER'S CERTM CATION
I, Keith Walker, Vice President_ certify that the information included on this permit
(Please print or type name clearly)
application form is correct, that the project will be constructed in conformance with the approved plans, that
the deed restrictions will be recorded with all required permit conditions, and that to the best of my knowledge,
the proposed project complies with the requirements of 15A NCAC 2H.1000.
I authorize the below named person or firm to submit stormwater plans on my behalf.
Owner/Authorized Agent Signature and Title Date T
VII. AGENT AUTHORIZATION (MUSTBE coMPLE=)
Person or firm name
. Stroud
.En
ineerin , P.A.-
Mailing Address
151 A.
Hwy.
24
City Morehead City_ State N.C. Zip 28557 Phone [phone]
Please submit application, fee, plans and calculations to the appropriate Regional Office.
cc: Applicant/WiRO//Central Piles

POND MAINTENANCE REQUHWgFNTS
Project Name: Camellia Court Apartments _ Project No. PM-858
Responsible Party: Camellia Court LP Phone No. [phone]
Address: 315 Turner Street, Beaufort, N.,C'. 28516
I.
10
Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it is not functioning.
B. Inspect and clear the orifice of any obstructions. If a pump is used as the drawdown
mechanism, pump operation will be checked. A log of test, runs of the pump will he kept
on site and made available to DEM personnel upon request.
C. Inspect the pond side slopes and grassed inlet swales; remove trash, and repair eroded
areas before the next rainfall event.
D. If the pond is operated with a vegetated filter, the filter will be checked for sediment
accumulation, trash accumulation, erosion and proper operation of the flow spreader
mechanism. Repairs/cleaning will be done as necessary.
Quarterly:
A. Inspect the collection system (ie. catch basins, piping, grassed swales) for proper
functioning. Accumulated trash will be cleared from basin grates, basin bottoms, and
piping will be checked for obstructions and cleared as required.
B. Pond inlet pipes will be checked for undercutting, riprap or other energy dissipation
structures will be replaced, and broken pipes will be repaired.
M. Semi-annually:
A. Accumulated sediment from the bottom of the outlet structure will be removed.
B. The pond depth will be checked at various points. If depth is reduced to 75 % of original
design depth or 3 feet whichever is greater, sediment will be removed to at least the
original design depth. Dzsi jn Cle(A =
C. Grassed swales, including the vegetated filter if applicable, will be reseeded twice a year
as necessary.

r
POND MAINTENANCE REQ S
PAGE 2
IV. General:
A. Mowing of the side slopes will be accomplished according to the season. Maximum grass
height will be 6".
B. Cattails are encouraged along the pond perimeter, however they will be removed when they
cover more than 1/2 the surface area of the pond.
C. The orifice/pump is designed to draw down the pond in 2-5 days. If drawdown is not
accomplished in that time, the system will be checked for clogging. The source of the
clogging will be found and eliminated.
D. All components of the detention pond system will be kept in good working order. Repair
or replacement components will meet the original design specifications as per the approved
stormwater plan.
V. Special Requirements:
I, Keith Walker, Vice President , hereby acknowledge that am the financially
responsible party for maintenance of this detention pond. I will perform the maintenance as outlined
above, as part of the Certification of Compliance with Stormwater Regulations received for this project.
Signature: �' �J Date: G 4 57
I, 41 heriv N. M oeL � , a Notary Public for theState'of kcr-1� CC�ral�a.
County of, (a4erGk , do hereby certify that _ 64h�D-. A .l k er
personally appeared before me this day of ^ , 19_!11, and acknowledge the
due execution of the foregoing instrument. Witness my hand and official seal,
My comm ion expires 1 S 000 o
••. A J B,\G 2
DAlarl: S:IWQSISTORMWATIFORMSIO&M-POND.FOR ;�

A7'n

STROUD ENGINEERING, P.A.
CONSULTING ENGINEERS
HESTRON PLAZA TWO
151-A HWY. 24
MOREHEAD CITY, NORTH CAROLINA 28557
[phone]
July 11, 2012
Ms. Georgette Scott, P.E.
NC Division of Water Quality
127 Cardinal Drive Ext.
Wilmington, NC 28405
Re: Engineering Certifications
Clearwater on Country Club, SW8 021217
Camelia Court Apartments, SW8 970728
Dear Ms. Scott,
-RECEIVED
JUL I11012
I have been asked by Tonia Glasgow, HOA representative for Clearwater on
Country Club to review our files for engineering stornwater certifications for the above
referenced projects. They are adjoining communities and a portion of Clearwater's
stormwater runoff is permitted as an offsite system on the Camelia Court wet -detention
pond. We were unable to locate a certification for Clearwater nor we able to locate a
certication for the modification to Camelia. Based on that, we are generating the
certifications now. We were closely involved during construction of both communities
and the facilities were constructed as designed and approved.
If I can provide any additional information, please let me know.
Cc: Tonia Glasgow
Keith Walker
107 COMMERCE ST.
SUITE B
GREENVILLE, NC 27858
[phone]
ncerely,
vnclleQ.�
.gyi�ld D. Cullipher, P.E.
CAR
PzI"��•
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= i3343
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,''rrrrrD441110 �
102-D CINEMA DRIVE
WILMINGTON, NC 28403
[phone]
HESTRON PLAZA TWO
151-A HWY. 24
MOREHEAD CITY, NC 28557
[phone]

State rmwater Management Systems
Permit No. SW8 970728 Modification
Camellia Court Apartments
Stormwater Permit No. SW8 970728
Carteret County
Designer's Certification
1, -ROncJ_d� [ ) I I i1���( , as a duly registered f.n 4w
in the State f North Caro Ana, having been authorized to ob (perio ical y klyl
full time) the construction of the project,
au4wwrl�
for C 11ia��U T LLP __ (Project Owner) hereby state that, to the
best of my abilities, due c re and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
PDAJ3 w A S CL�T JF-Iep nN 9/11 T1�}�
GDU LDS MIa1 K'Ali m-� TW kL6WbI,6
Ok) C4001� CLUB 1-D UTlLiZC AS afT---SiJC Sw
?D�J Uu�- P Eyz-mI . SW?, .6Z,1z�l-
.� �H Rp •,
Signatur =�QQ��Css�pti�'L9'S
C:R
Registration Number
• 13343
Date 7 � I 1 �) "L1. � �•
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.111 O D. CVO ;•�`�
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qa . '

State Stormwater. nagement Systems
Permit No. SWo 970728 Modification
Cr,O.ification Requirements:
i� _1.
The drainage area to the system contains approximately the permitted
acreage.
Q;Y 2_.
The drainage area to the system contains no more than the permitted
amount of built -upon area.
3.
All the built -upon area associated with the project is graded such that the
runoff drains to the system.
kP"L�4.
The outlet/bypass structure elevations are per the approved plan.
The outlet structure is located per the approved plans.
6.
Trash rack is provided on the outlet/bypass structure.
All slopes are grassed with permanent vegetation.
� '
CD:: J.
Vegetated slopes are no steeper than 3:1.
9.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
j0.
The permitted amounts of surface area and/or volume have been
provided.
v-� l 11.
Required drawdown devices are correctly sized per the approved plans.
RJ -C 12.
All required design depths are provided.
13.
All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
14.
The overall dimensions of the system are provided per the approved
plans.
cc: NCDC-NR-DWQ Regional Office
Morehead City Building inspections
A

LoBVEa SEp I
6 290
STROUD ENGINEERING, P.A.
HESTRON PLAZA TWO
151-A HWY. 24
MOREHEAD CITY, NORTH CAROLINA 28557
[phone]
September 11, 1998
Mr. Rick Shiver, P.G.
NC Department of Environment and Natural Resources
Division of Water Quality
127 North Cardinal Drive
Wilmington, NC 28405
RE: Permit No. SW8 970728 - CAMELLIA COURT APARTMENTS
Carteret County
Dear Mr. Shiver:
Enclosed herewith is the Engineer's Certification for above referenced stormwater project.
Sincerely,
Ronald D. Cullipher, P.E.
cc: Keith Walker
107 COMMERCE ST. 3961 A MARKET ST. HESTRON PLAZA TWO
SUITE B SUITE A 151-A HWY. 24
GREENVILLE, NC 27858 WILMINGTON, NC 28403 MOREHEAD CITY, NC 28557
[phone] [phone] [phone]

r 1 State Stormwater Management Systems
Permit No. SW& 970728
Camellia Court Apartments
Stormwater Permit No. SW8 970728
Carteret County
Engineer's Certification
1, ROWN L.O D , G U LL-t PHE;t , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe eriodica ly ekly/full time) the construction of the project,
G W!4 L LI Pr GOu 2:IC PtVPc<CVMrr t.TCS (Project)
PROct V.4VAs4 % P
for (q 0V s_L%A Le%IR.-r- L t M mo (Project Owner) hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the project construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification: t ONGr UOwtJ
Signature
Registration Number
Date �i 9
SEAL
W
uv
3
�'�ALb ii.v�r
S%RIMWA TER
E C EI V E
VIl SEP 161998 D
pROJ # a E M
0